EXAM STUDY SET Questions and All
Correct Answers 2025-2026 Update.
What are the indications for urinary catheterization? - Answer · An open perineal wound
· Measurement of residual after urination
· Relief of urinary retention
What is another word for planter flexion contractures? - Answer · Foot drop
What are appropriate interventions in aiding a client with low oxygen saturation? - Answer ·
Raising the head of the bed
· Administering oxygen
Which actions should the nurse take when caring for a client who has urinary incontinence? -
Answer · Apply moisture ointment
· Cleaning up client often
· Apply a condom catheter on a male client
· Take the client to the bathroom every 2 hours
What are the appropriate nursing interventions for treating pressure injuries? - Answer ·
Repositioning
· Raise heels off the bed
· Keep head at or below 30 degrees
Which actions should the nurse take when administering a cleansing enema? - Answer · Hold
the container 30-45 cm above the anus
Which action should a nurse take when a client is shivering during the application of cold
compress? - Answer · Stop the treatment
A nurse receives an order to collect urine from a client who has an indwelling catheter. How
should the nurse collect the sample? - Answer · Through the catheter port
, · Assess mucous membrane/conjunctiva
What should a nurse do after the removal of a urinary catheter and the client has not voided? -
Answer · Palpate bladder for distention
· Use bladder scan
Describe nursing responsibilities of ostomies - Answer · Keep patient free of odors
· Inspect patient's stoma size
· Empty bag when 2/3 full
· Keep skin around the stoma site clean
Describe a healthy looking stoma - Answer · Pink, moist and shiny
Which device should be used when ambulating a patient? - Answer · A gait belt
What is the late findings of hypoxia? - Answer BED-
· Bradycardia
· Extreme restlessness
· Dyspnea
Non-blanchable, intact erythema skin - Answer · Stage 1 pressure ulcer
What is the first thing a nurse should do prior to collecting a 24-hour urine sample? - Answer ·
Flush the first void down the toilet
Identify the term. A body part turning on it's axis toward the midline of the body is called -
Answer · Internal rotation
A nonrebreather mask delivers what kind of concentration level of oxygen? - Answer · High
concentration level
How do you clear the airway of a client who has a tracheostomy? - Answer · Suctioning